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so today Im going to be showing you a a tepee adjustment for a first trip I think it scared Daniel there if hes big man pause paid off and we want to think about creating [Music] little foot and we think of a bunion how the little kick [Music] so were gonna show the assessment first and were gonna show this adjustment which can be a less aggressive way to adjust somebodys first rib versus our typical maybe prone or supine or seated versions which those are all great versions I would particularly use this somebody thats fear avoidant to being adjusted in a seated position and then also just certain body mass issues this can also be a lot easier especially for your smaller doctor working with a bigger patient so when were assessing first rib from a motion palpation standpoint were gonna kind of use this hand to assess the right first rib we just kind of let his head drop in a lateral flexion flexion and then we kind of give a little over pressure and were trying to see does tha
